Search results for: 'includes test'
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                        $1 today • Pay Balance After ResultsComplete Hormone & Wellness Panel for MEN$499
Learn MoreThis panel is the most inclusive of all offered on the site for men who want a wide picture of their health or who are considering starting testosterone replacement therapy. It provides a baseline overview of your sex hormones, thyroid gland, adrenal function, metabolic function, cholesterol, prostate, and overall health. Tests included:
- CBC
 - CMP
 - Lipid Panel
 - Testosterone
 - Total (LC/MS) Estradiol, Ultra Sensitive
 - DHEA-s
 - TSH
 - Free T3
 - PSA
 - LH
 - FSH
 
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                        $1 today • Pay Balance After ResultsPROTEIN, GLOBULIN & ALBUMIN$17
Learn MoreProtein, Gloublin and Albumin - The major proteins seen in the serum are albumin and globulin-the latter being primarily alpha 1 and alpha 2 globulin, beta globulin and gamma globulin. Albumin accounts for more than 50% of the total serum proteins. The albumin to globulin (A/G) ratio has been used as an index of disease state, however, it is not a specific marker for disease because it does not indicate which specific proteins are altered. The normal A/G ratio is 0.8-2.0. The A/G ratio can be decreased in response to a low albumin or to elevated globulins. Total globulins may be increased in some chronic inflammatory diseases (TB, syphilis) multiple myeloma, collagen disease, and rheumatoid arthritis. Decreased levels are seen in hepatic dysfunction, renal disease and various neoplasms.
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                        $1 today • Pay Balance After ResultsVitamin and Mineral Panel$290
Learn MoreThis comprehensive panel includes key vitamins and minerals that affect quality of life and survival. Test included are: Vitamin D, Vitamin B-12, Folate (Folic Acid), Magnesium in Red Blood Cells, and Zinc in Red Blood Cells.
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                        $1 today • Pay Balance After ResultsAnemia Test Panel$143
Learn MoreThis 18 test anemia panel includes all tests needed to diagnose the degree and cause of anemia including a CBC panel (red blood cells, hemoglobin, etc), Ferritin, Iron, Total Iron Binding Capacity, Folate, and Vitamin B-12
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                        $1 today • Pay Balance After ResultsWomen's Elite Hormone and Wellness Panel$687
Learn MoreThis complete lab test panel for women includes tests and panels that show your status on immune function, electrolytes, liver and kidney function, cholesterol, testosterone, estradiol, DHEA, thyroid function, blood sugar control, inflammation, vitamin deficiencies, anemia/fatigue, progesterone, and LH & FSH hormones.
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                        $1 today • Pay Balance After ResultsHair Loss Test Panel$420
Learn MoreThis lab test panel includes main blood test makers involved in hair loss in women and men: Complete Blood Count (CBC)- Can detect potential low hemoglobin and infections that can lead to hair loss. Ferritin- Low ferritin, an iron storage protein, has been linked to hair loss and slow down of hair growth. Iron and Total Iron Capacity (TIBC)- Low iron anemia has been linked to hair loss. Hyperandrogenism: Excessive male hormones (androgens): Total Testosterone (LC/MS), Free Testosterone (Equilibrium Ultrafiltration), DHEA-S, Dihydrotestosterone (DHT) Hypothyroidism and Hyperthyroidism: Thyroid Stimulation Hormone (TSH), Free Triidothyronine (Free T3)
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                        $1 today • Pay Balance After ResultsBodybuilder Blood Test Panel- Comprehensive$403
Learn MoreHere is a list of 14 carefully selected lab tests and panels that are essential in maintaining proper health while improving body composition and strength: Hematocrit, Lipid panel (LDL, HDL, triglycerides), Cystatin C kidney test, eGFR kidney test, GGT liver test, Total Testosterone (LC/MS), Free Testosterone (Equilibrium Ultrafiltration), Ultrasensitive Estradiol, Prolactin, DHT test (LC/MS), IGF-1 test (LC/MS), and ferritin. Fasting is required.
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                        $1 today • Pay Balance After ResultsInflammation Blood Test Panel$265
Learn MoreThis panel includes blood tests that are related to inflammation and certain diseases. Blood tests included are: CRP high sensitivity, CPK, LDH, Ferritin, Homocysteine and ESR
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                        $1 today • Pay Balance After ResultsTRT Hormone/Wellness Follow Up Panel$237
Learn MoreThis panel includes main blood test variables monitored by many clinics that treat men with low testosterone. This panel is for men who are already on testosterone replacement therapy (TRT) and who want to monitor their main blood tests. Fasting is required for CMP.
The panel includes:
- Total and free testosterone (LC/MS assay. No upper limit restriction)
- Sex hormone-binding globulin
- Estradiol (ultrasensitive- LC/MS assay)
- CBC (includes hematocrit, and immune cells)
- CMP (includes glucose, liver and kidney function). Fasting is required.
- Lipids (LDL and HDL cholesterol and triglycerides)
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                        $1 today • Pay Balance After ResultsTHYROID Panel - COMPREHENSIVE$238
Learn MoreThis test panel includes most tests needed to more deeply explore the possibility of hypothyroidism and/or Hashimoto's disease diagnosis. It includes: TSH, Free T3, Free T4, Reverse T3, Thyroglobulin Antibody and Thyroid Peroxidase Antibody (Anti-TPO). If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests. A study found that TSH was suppressed in all subjects after food, so fasting may be suggested although it is not reqired by Quest. Free T4 and Free T4 values did not change significantly after eating. NOTE: Reverse T3 is analyzed using a specific technique called liquid chromatography/tandem mass spectrometry (LC/MS-MS). There's a special place in the U.S. where these precise machines needed for LC/MS panels run only on two specific days a week. So, sometimes the clock ticks a bit while we wait for samples to return from their initial collection points. Results may take 7 business days.
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                        $1 today • Pay Balance After ResultsComprehensive Fatigue Panel$432
Learn MoreThe causes of fatigue are multifactorial and could involve imbalances in several hormones. This panel includes most hormones and variables involved in the diagnosis and treatment of fatigue. Ordering this panel provides substantial cost savings when compared to ordering each test separately. The panel is useful for men and women. TESTS INCLUDED IN THIS PANEL: TOTAL AND FREE TESTOSTERONE, THYROID FUNCTION: TSH, Free T3, Free T4, Thyroid Antibodies, HEMOGLOBIN A1c, Complete Blood Count (CBC) Test (Includes white, red cells and platelets), Comprehensive Metabolic Panel (CMP), IRON, TIBC (Total Iron Binding Capacity), FERRITIN, ADRENAL FUNCTION: Cortisol and DHEA-S
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                        $1 today • Pay Balance After ResultsAnnual Physical Lab Test Panel$110
Learn MoreThis lab test panel includes the blood tests usually selected by physicians in an annual physical exam for men and women: CBC (Complete Blood Count: Immune Cells, Red Blood Cells/Hematocrit, and Platelets), CMP (Comprehensive Metabolic Panel: Glucose, liver and kidney function, electrolyte and fluid balance), Lipids (LDL and HDL cholesterol, and triglycerides), and A1c (Glycated Hemoglobin). This panel does not include a doctor's visit, only lab tests. Low Price Guaranteed.
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                        $1 today • Pay Balance After ResultsMale Hormone Test Panel$313
Learn MoreThis affordable male hormone panel includes the most accurate assays used as gold standard for measuring:
- Total Testosterone (Liquid chromatography/MS-MS)
 - Free Testosterone (Equilibrium Ultrafiltration)
 - Sex Hormone-Binding Globulin (SHBG)
 - Estradiol, Ultra Sensitive (LC/MS-MS)
 - DHT level (LC/MS)
 - Prolactin
 - Dehydroepiandrosterone sulphate (DHEA-S)
 
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                        $1 today • Pay Balance After ResultsGynecomastia Blood Test Panel$434
Learn MoreThis panel includes hormones that have been implicated in gynecomastia by several studies. Gynecomastia is a benign enlargement of the male breast resulting from a growth of the glandular tissue of the breast. Since it causes anxiety, psychosocial discomfort and fear of breast cancer, early diagnostic evaluation is important, and patients usually seek medical attention. Causes include hormone imbalance and genetic predisposition.
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                        $1 today • Pay Balance After ResultsUltimate Lab Test Panel for Men and Women$837
Learn MoreThis ultimate lab test panel offers the best savings for men and women to determine their immune health, liver and kidney function, electrolytes, blood sugar, cholesterol, thyroid function, inflammatory markers involved in heart disease, testosterone total and free, urinalysis to determine UTIs and kidney function, estradiol, DHEA-S, vitamins D and B12, and iron/ferritin to determine anemia or increased risk of iron overload.
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                        $1 today • Pay Balance After ResultsBodybuilder Blood Test Panel- Beginner$172
Learn MoreThis is a simple bodybuilder test panel for those who do not require Cystatin-C or GGT tests. The panel includes:
- Complete Blood Count (Immune Cells, Red Blood Cells, and Hematocrit)
 - Complete Metabolic Panel (Blood sugar, electrolytes, kidney and liver function)
 - Lipids (LDL, HDL, and Triglycerides)
 - Testosterone, Total LC/MS and Free Testosterone by Equilibrium Dialysis
 - Ultrasensitve Estradiol (Only Test Accurate in Men)
 
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                        $1 today • Pay Balance After ResultsAdrenal Insufficiency Panel- Basic$203
Learn MoreDiscounted Labs’ basic adrenal insufficiency panel includes cortisol, ACTH, and DHEA as a starting point. Depending on lab test results from this panel, physicians may choose to do an ACTH stimulation test, renin, potassium, and sodium. Imaging studies like a CT scan of the adrenal glands may also be considered to check for adrenal growths. In order to check for Addison's Disease, the auto-immune type of primary adrenal insufficiency, labs should be drawn to check 21-hydroxylase
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                        $1 today • Pay Balance After ResultsWomen Ultra Elite Panel$1,312
Learn MoreThis women's ultra elite lab test panel offers the best savings for men to determine their immune health, liver and kidney function, electrolytes, blood sugar, advanced lipid panel, thyroid function, inflammatory markers involved in heart disease, testosterone total and free, urinalysis to determine UTIs and kidney function, ultrasensitive estradiol, DHEA-S, IGF-1, DHT, Prolactin, Progesterone, Estrone, Total Estrogens, vitamins D and B12+ folate, and iron/ferritin to determine fatigue, anemia or increased risk of iron overload.Tests included are:
Complete Blood Count with Differential (CBC)
Comprehensive Metabolic Panel (CMP)
Hemoglobin A1c
Cardio IQ Advanced Lipid Panel
Urinalysis, Complete
TSH
Thyroid Free T3
Thyroid Free T4
Reverse T3
TPO Antibodies
Thyroglobulin Antibodies
Homocysteine
Cardio C-Reactive Protein
CPK
Estradiol, Ultra Sensitive
Testosterone Total & Free (LC/MS- No upper limit)
DHEA – S
Prolactin
DHT
IGF-1
Progesterone
Estrone
Total Estrogens
LH + FSH
Anti-Müllerian Hormone (AMH)
Vitamin D (25OHD)
Vitamin B-12
Folate
Ferritin
Iron & TIBC (Total Iron Binding Capacity) - 
                        
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                        $1 today • Pay Balance After ResultsCBC + CMP + Lipids$53
Learn MoreThis panel includes CBC (Complete Blood Count) with differential, CMP (Comprehensive Metabolic Panel), and Lipid Panel (LDL, HDL, Triglycerides). There are a total of 30 tests included in this panel for a very low price.
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                        $1 today • Pay Balance After ResultsBodybuilder Blood Test Panel- Basic$271
Learn MoreThis panel provides smart bodybuilders with information that can help minimize potential short- and long-term side effects and risks. This basic bodybuilder panel includes the following gold standard tests/panels: Cystatin C (the only accurate kidney function test for bodybuilders), hematocrit (blood viscosity factor), CMP (glucose, liver & kidney function, and electrolytes), total and free testosterone (LC/MS assay—no upper limit and no interference with anabolics), ultra-sensitive estradiol (the only accurate estradiol test for men), & lipid cholesterol panel. Fasting is required.
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                        $1 today • Pay Balance After ResultsWomen's Hormone Panel$285
Learn MoreThis hormone panel for women contains all basic hormones (except for LH and FSH, which you can add to your cart separately): DHEA-S, Estradiol (CLIA assay), Progesterone, Total Testosterone, LC/MS, Free Testosterone by Equilibrium Ultrafiltration, TSH,Free T3 and Free T4
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                        $1 today • Pay Balance After ResultsPCOS Test Panel$548
Learn MoreThis PCOS lab test panel includes: Lipid Panel, CBC, CMP, Prolactin, C-Peptide,TSH, Free T3, Fee T4, Sex Hormone binding Globulin, DHEA Sulfate, Estrogen, FSH,Insulin Fasting, A1c, LH, Progesterone, 17-OH Progesterone,Testosterone, Total (LC/MS) and Free (EquilibriumvDialysis), and Vitamin D.
Polycystic literally means "many cysts." In medical terms, it usually refers to a condition called polycystic ovary syndrome (PCOS). PCOS is a hormonal disorder commonly seen in women of childbearing age. The condition is characterized by the presence of multiple fluid-filled cysts in the ovaries. PCOS can cause symptoms like irregular periods, weight gain, acne, and excessive hair growth. Women with PCOS may also experience infertility, diabetes, and heart disease later in life. The exact cause of PCOS is not known, but genetics and insulin resistance are considered contributing factors. PCOS is diagnosed based on symptoms, physical examination, and blood tests.
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                        $1 today • Pay Balance After ResultsHepatic Function Panel$82
Learn MoreA hepatic panel is a blood test that helps doctors check for liver injury, infection, or disease. Liver function panels also can check for side effects in the liver from some medicines. This lab test panel measures the blood levels of total protein, albumin, bilirubin, AST, ALT, ALP, and GGT enzymes. High or low levels may mean that liver damage or disease is present.
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                        $1 today • Pay Balance After ResultsTRT MALE Hormone/Wellness Follow Up Panel$237
Learn MoreThis popular and cost-effective panel includes main blood test variables monitored by many clinics that treat men with low testosterone. This panel is for men who are already on testosterone replacement therapy (TRT) and who want to monitor their main blood tests. You save substantial amounts of money by ordering these tests together rather than one at a time. The panel includes: Total and free testosterone (LC/MS assay. No upper limit restriction), Sex hormone binding globulin (SHBG), Estradiol (sensitive- LC/MS assay), CBC (includes glucose, hematocrit and immune cells), CMP (includes liver and kidney function, eGFR), Lipids (LDL and HDL cholesterol and triglycerides)
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                        $1 today • Pay Balance After ResultsDiabetes Panel$226
Learn MoreThis diabetes panel includes important tests usually prescribed for anyone living with Type 1 or Type 2 diabetes. It includes A1c, CMP, Urinialysis, Insulin, and Glucose Tolerance Test (GTT).
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                        $1 today • Pay Balance After ResultsOsteoporosis Lab Test Panel$310
Learn MoreThis osteoporosis panel includes:
- Serum total calcium, albumin (to calculate albumin adjusted calcium) and phosphorus as part of a CMP panel to detect conditions associated with hypercalcemia such as primary hyperparathyroidism or hypocalcemia and consequent secondary hyperparathyroidism causing bone loss
 - Serum creatinine and estimated glomerular filtration rate (GFR) as part of the CMP panel are useful to detect renal failure which can affect bone health.
 - Serum alkaline phosphatase (ALP) as part of a CMP panel. ALP measurement is useful to detect conditions including Paget's disease, metastatic bone disease and osteomalacia, etc.
 - Vitamin D nutrition should be determined by measuring serum 25-hydroxy vitamin D [25(OH)D]. Although there is controversy about the optimum level of 25(OH)D for bone health; while 50 nmol/L is considered acceptable
 - Parathyroid Hormone (PTH) measurement would be required if serum calcium is abnormal, to help investigate the cause of the calcium abnormality.
 - Ultra-sensitive Estradiol. Low estradiol in men and women has been linked to bone loss.
 - Phosphorus. An increased phosphorus with decreased calcium suggests either hypoparathyroidism or renal disease. A decreased phosphorus and an increased calcium suggests hyperparathyroidism or sarcoidosis. When both calcium and phosphorus are decreased diagnostic considerations include malabsorption, vitamin D deficiency and renal tubular acidosis. Increased phosphorus and normal or increased calcium suggests Milk-alkali syndrome or hypervitaminosis D.
 
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                        $1 today • Pay Balance After ResultsElite Male Blood Test Panel$739
Learn MoreThe most complete of all blood test panels for men that include: Total and Free Testosterone, Ultra Sensitive Estradiol, IGF-1, Prolactin, DHT, DHEA-S, PSA, SHBG, Lipids, CBC, CMP, and Thyroid Function (TSH, Free T3, Free T4).
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                        $1 today • Pay Balance After ResultsWellness by Design Female Panel$1,133
Learn MoreComprehensive and All-Inclusive Lab Test Panel for clients of The Wellness By Design Project. The panel includes: Testosterone Free with Total, Estrogens Total, Estrone, Estradiol, DHEA-S, Progesterone, Pregnenolone, Dihydrotestosterone (DHT), FSH/LH, Cortisol, Prolactin, TSH, Free T3, Free T4, Reverse T3, Anti TPO, AntiTG, C-reactive protein (high sensitivity), Homocysteine, Apolipoprotein B, Insulin-like Growth Factor 1 (IGF-1), Insulin, Sex Hormone Binding Globulin (SHBG), Vitamin D 25-hydroxy, Complete Metabolic Panel, Gamma Glutamyl Transferase (GGT), Lipid Profile, Complete Blood Count (CBC), Hemoglobin A1C (HbA1C), Magnesium (serum), Phosphorus (serum), LDH, Uric Acid, Iron Serum, Total Iron Binding Capacity (TIBC), Iron Saturation, Ferritin, and Fibrinogen activity.
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                        $1 today • Pay Balance After ResultsTRT Basic Monitoring Panel$116
Learn MoreThis TRT basic lab test panel includes essential tests (CBC, CMP, ultrasensitive estradiol, and total & free testosterone) to monitor treatment in men on that have been testosterone replacement therapy for a few months. Test included:
- CBC (White and red blood cells, hematocrit, etc)
 - CMP (glucose, liver & kidney function, etc)
 - Estradiol Ultra Sensitive
 - Total Testosterone (LC/MS)
 - Free Testosterone (Equilibrium Dialysis)
 
Fasting is required for proper glucose testing as part of CMP.
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                        $1 today • Pay Balance After ResultsErectile Dysfunction ED Test Panel$292
Learn MoreED Panel Includes Main Hormones Involved with Erectile Function:
- Prolactin
 - Total Testosterone (LC/MS)
 - Free Testosterone (Equilibrium Ultrafiltration)
 - Estradiol, Ultra Sensitive
 - DHT
 - TSH
 - Free T3
 - Free T4
 
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                        $1 today • Pay Balance After ResultsFertility Panel for Women$390
Learn MoreThis fertility panel for women contains the main hormones tested (most using the most sensitive liquid chromatography/mass spectrometry) by reproductive endocrinologists to assess the potential for a woman to become pregnant. Tests included are: LH, FSH, Anti-Müllerian Hormone (AMH), estradiol (LC/MS), progesterone (LC/MS), TSH and testosterone (LC/MS).
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                        $1 today • Pay Balance After ResultsRenal Kidney Function Panel Comprehensive$203
Learn MoreThis panel includes blood and urine tests commonly used by physicians to determine kidney dysfunction: Urinalysis, Comprehensive Metabolic Panel (CMP), Cystatin C and eGFR.
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                        $1 today • Pay Balance After ResultsTRT + hCG Lab Test Panel$199
Learn MoreThis panel includes: Testosterone, Total, LC/MS and Free (Equilibrium Dialysis), and 17-OH-progesterone, a metabolite that has been correlated with sperm production.
Testosterone Replacement Therapy (TRT) shuts down upstream hormones like LH and FSH required for sperm production, so men on TRT generally have a difficult time fathering a child. Some studies show that adding hCG to a TRT protocol may improve sperm production since hCG is an analog of LH that could stimulate sperm production. But optimizing hCG dose and frequency based on sperm count can be a time consuming process since it takes at least 8 weeks to see changes in sperm tests. Fortunately, there is an easier way by measuring 17-OH-progesterone to predict the efficacy of the hCG+TRT protocol without having to wait for 8 weeks between hCG dose/frequency changes.
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                        $1 today • Pay Balance After ResultsArthritis Test Panel$140
Learn MoreThis Arthritis Panel Includes Sedimentation Rate, Anti-Nuclear Antibody (ANA), Rheumatoid Factor, C-Reactive Protein (CRP), and Serum Uric Acid
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                        $1 today • Pay Balance After ResultsPanel: CBC, CMP, TT, FT, Lipids, Prolactin, Ultra Sensitive Estradiol, and SHBG$366
Learn MoreThis panel is popular among men who are on testosterone therapy since it offers substantial savings over ordering each of these tests separately : Complete Blood Count (CBC) ,Comprehensive Metabolic Profile ( includes eGFR ), Estradiol UltraSensitive, Testosterone, Total and Free ( Accurate for all testosterone levels, uncapped), Prolactin, Lipids, and Sex Hormone Binding Globulin (SHBG). FASTING IS REQUIRED.
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                        $1 today • Pay Balance After ResultsAnnual Physical Comprehensive Panel$175
Learn MoreThis lab test panel includes lab tests ordered by many physicians performing comprehensive annual physical exams. It does not include the actual physician's physical exam, only these six tests:
- CBC
 - CMP
 - Lipids
 - A1C
 - TSH
 - Urinalysis.
 
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                        $1 today • Pay Balance After ResultsThyroid Antibody Panel$78
Learn MoreThese two tests measure antithyroglobulin antibodies and Anti-TPO antibodies that are commonly present in patients with Hashimoto's thyroiditis, Graves disease and other thyroid-related conditions. Antibodies against the protein thyroglobulin can result in the destruction of thyroid cells. TPO antibodies are created when the immune system of a person targets by pure error elements of the thyroid gland or protein, leading to chronic thyroid inflammation, tissue damage, and damage to the thyroid function. Leaving this untreated may cause severe health issues.
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                        $1 today • Pay Balance After ResultsTestosterone (Total + Free), Ultrasensitive Estradiol & Hematocrit$130
Learn MoreThe most economical lab test panel with 4 tests for men on TRT:
- Total Testosterone, Liquid Chromatography/ Mass Spectrometry
 - Free Testosterone, Equilibrium Dialysis
 - Ultrasensitive Estradiol, Liquid Chromatography/ Mass Spectrometry
 - Hematocrit
 
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                        $1 today • Pay Balance After ResultsBlood Donation Safety Panel$60
Learn MoreThis blood donation panel includes these tests: Hematocrit, iron & total iron binding capacity (TIBC), and ferritin.This panel is designed to determine if: 1- Your blood donation or therapeutic phlebotomy was effective in lowering your high hematocrit without negatively affecting ferritin or iron. 2- It is safe to do another blood donation or therapeutic phlebotomy depending on ferritin or iron levels.
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                        $1 today • Pay Balance After ResultsProstate-Specific Antigen (PSA), Ultrasensitive, Post Prostatectomy (MALES ONLY)$99
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                        $1 today • Pay Balance After ResultsPSA$25
Learn MoreProstate Specific Antigen (PSA) is produced exclusively by cells of the prostate gland. Used in conjunction with the digital rectal examination, PSA is a useful screening test for benign prostate enlargement, prostatitis and prostate cancer development.
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                        $1 today • Pay Balance After ResultsHashimoto's Test Panel$179
Learn More1. TSH (Thyroid Stimulating Hormone) Test The TSH test is crucial for diagnosing Hashimoto's disease. It gauges the level of TSH that the pituitary gland produces, which in turn stimulates the thyroid to produce T4 and T3 hormones. Elevated TSH levels can indicate hypothyroidism, commonly associated with Hashimoto's disease
2. Thyroid Hormone Tests These tests measure the levels of free T3 (free triiodothyronine) and free T4 (free thyroxine) in the blood. A low level of free T4, along with an elevated TSH level, is a key indicator of Hashimoto's disease
3. Thyroid Antibody Tests Most individuals with Hashimoto's disease have thyroid peroxidase (TPO) antibodies in their blood. Testing for these and other thyroid-related antibodies is a significant step in diagnosing the condition
4. Thyroglobulin Antibody Test This test screens for antibodies against thyroglobulin, a protein in the thyroid gland. High levels are another marker of Hashimoto's disease
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                        $1 today • Pay Balance After ResultsUrinalysis$15
Learn MoreThe Urinalysis test panel screens for a variety of conditions including urinary tract infections ( UTI ), urinary bladder disease, kidney disease and diabetes. Tests included: Color, Appearance, Specific gravity, pH, Protein, Glucose, Occult blood, Ketones, Leukocyte esterase, Nitrite, Bilirubin, Urobilinogen, and Microscopic examination of urine sediment